| Blank Space Therapy | |
|
1916 Woodruff Rd Greenville SC 29607-5937 | |
| (864) 729-3257 | |
| Not Available |
| Full Name | Blank Space Therapy |
|---|---|
| Speciality | Counselor |
| Location | 1916 Woodruff Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Jewell De Groot (PROPRIETOR) |
| Authorized Official Contact | 8647293257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blank Space Therapy 248 Scotts Bluff Dr Simpsonville SC 29681-8010 Ph: (864) 729-3257 | Blank Space Therapy 1916 Woodruff Rd Greenville SC 29607-5937 Ph: (864) 729-3257 |
| NPI Number | 1962246272 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962246272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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